Hi, My boyfriend has a strange shaking body after orgasm and he always laughs when that happens, he had medical depression for 9 years from 16 to 23 (He s 29), he s too sensitive to heat and usually says he s boiling. Sometimes complains of dizziness and gets tired soon after a short physical activity. His muscles in arms are weak also. It s 7 months that we are together and he wanted to leave me twice with no reasons as he admitted but returned to me in few hours crying that he didn t know why he did that. I was reading about MS today and I was wondering if all these can be symptoms of MS?

I have read the symptoms your boyfriend is having. I would like to point out that his symptoms are too non specific for us to make a diagnosis of multiple sclerosis (MS).

First of all, he needs a detailed neurological evaluation, including history and physical examination. Then, investigations such as vitamin B12 level, vitamin D level, thyroid profile, hemoglobin, etc would be done.

If symptoms suggest neurological involvement, then, MRI of brain and spine would be done to exclude MS.